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Author Topic: Is 197 a Blip?  (Read 1319 times)

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Offline SoSadTooBad

  • Member
  • Posts: 248
Is 197 a Blip?
« on: July 10, 2007, 12:11:25 AM »
Team - went for my quarterly visit to my ID doc today.  He was pleased with the results, and said not to worry, but I was a little bummed.  Can I get some of your thoughts:

VL 197 CD4 365 CD4% 23%  ( I hate a detectible VL!!!)

Last visit was VL <50 CD4 365 CD4% 23%

I am on Combivir/Sustiva - 99.999999% adherent - started treatment 6/2/06

Started with VL 36,XXX and CD4 78

Should I be happy?  Sad?  Indifferent??

All other blood work was normal - Cholesterol: 160, / AST/ALT: normal, Blood sugar: 98

Worried that 197 is the start of treatment failure -

Offline tsw923

  • Member
  • Posts: 174
Re: Is 197 a Blip?
« Reply #1 on: July 10, 2007, 01:07:12 AM »
Hey there,

I'm not sure -- I would imagine that you have to get one or 2 more sets of numbers before you get really worried. 

TSW
Help find a cure for leukemia, lymphoma, and other blood-related cancers by sponsoring me as I walk a 1/2 marathon as a part of the Maryland chapter of Team in Training.  To find out more and to donate, please click on the following site:  http://www.active.com/donate/tntmd/tswtntmd

Offline Matty the Damned

  • Member
  • Posts: 12,244
  • Ninja Please
Re: Is 197 a Blip?
« Reply #2 on: July 10, 2007, 02:37:24 AM »
The increase in your VL may well be a blip babe. I agree that you'll have to wait for another set (or maybe two sets) of numbers to really know what's happening. I suspect it is a blip. A VL of 127 is really so close to undetectable that I wouldn't be freaking.

The good news is that your CD4 counts (absolute and percentages) are trending well here and that indicates that the desired goal of HAART (suppressing VL) is successful.

Regards,

MtD

Offline J.R.E.

  • Member
  • Posts: 7,275
  • Joined Dec-2003 Living positive, since 1985.
Re: Is 197 a Blip?
« Reply #3 on: July 10, 2007, 07:35:23 AM »
Hi there,

I've "blipped" a few times since starting on treatment.(SEE BELOW) My doctor doesn't seem that concerned, unless the blip is 400 and above, and and does that for a couple tests.

Each time I've gone from undetectable, is has always gone back to <50 again.



Take care-----Ray
Current Meds ; Viramune, Epzicom, 40mg of simvastatin, 25 mg of Hydrochlorothiazide.
Metoprolol tartrate 25mg



http://forums.poz.com/index.php?topic=40802.0

http://forums.poz.com/index.php?topic=45159.0

http://forums.poz.com/index.php?topic=39722.msg495621;topicseen#msg495621

http://forums.poz.com/index.php?topic=46806.0

http://forums.poz.com/index.php?topic=39414.msg491701#msg491701


Diagnosed positive in 1985,.. In October of 2003, My t-cell count was 16, Viral load was over 500,000, Percentage at that time was 5%. I started on  HAART on October 24th, 2003.

 As of 8/25/14,  t-cells are at 402, Viral load <40

 Current % is at 11%

  
 63 years young.

Offline J.R.E.

  • Member
  • Posts: 7,275
  • Joined Dec-2003 Living positive, since 1985.
Current Meds ; Viramune, Epzicom, 40mg of simvastatin, 25 mg of Hydrochlorothiazide.
Metoprolol tartrate 25mg



http://forums.poz.com/index.php?topic=40802.0

http://forums.poz.com/index.php?topic=45159.0

http://forums.poz.com/index.php?topic=39722.msg495621;topicseen#msg495621

http://forums.poz.com/index.php?topic=46806.0

http://forums.poz.com/index.php?topic=39414.msg491701#msg491701


Diagnosed positive in 1985,.. In October of 2003, My t-cell count was 16, Viral load was over 500,000, Percentage at that time was 5%. I started on  HAART on October 24th, 2003.

 As of 8/25/14,  t-cells are at 402, Viral load <40

 Current % is at 11%

  
 63 years young.

Offline MOONLIGHT1114

  • Member
  • Posts: 1,918
  • Cheech 2.2.94 - 4.23.10 We miss you so much!
Re: Is 197 a Blip?
« Reply #5 on: July 10, 2007, 10:43:48 AM »
I was on Fotovase from 1996 - 2002.  In 2002, I had a VL that was in the high 100s where before it was always undetectable.  Three months later my VL was in the 300s, and my doctor kept saying, "Don't worry, its not bad, its not bad.  This is a small number for a VL."  So, it had been 6 months at this point since I had had an undetectable VL (labs every 3 months).  I explained to my doc that I didn't like the "trend" I was seeing with two sets of labs showing higher VLs, although they were small numbers in the scope of things.  She said they could do a genotype.  It took about three weeks to get the results.  They draw your blood and expose it to all meds to see which, if any, you have developed a tolerance or resistance to.  Turns out that Fortovase was no longer working for me, The Miracle Child.  That's what they called me because I was on the same regimen for so long.

I suggest asking for a genotype.  Just like MtD suggested, have a few more rounds of labs done at your regular 3- or 4-month intervals.  I hated having a detectable VL as well, still do, so after those labs came back with the numbers going higher I was really bummed.  Ask for the genotype.  I think its good to see what will be beneficial to our bodies before waiting too much longer (i.e. a year) with lab results.  Six months, and I demanded that genotype once I had learned about it.

The waiting for genotype results drove me insane, but turned out I was right all along!

Yeah, so then they go and put me on Sustiva, Zerit and Videx EC......lipo!  LOL  I have since switched to Sustiva and Truvada (October 2005) and I am doing well, got my face back!    ;D

Best of Luck to You!

Cindy
HIV+ since '93, 1/12 - CD4 785 and undet.   WOO-HOO!!

Offline Miss Philicia

  • Member
  • Posts: 24,504
  • celebrity poster, faker & poser
Re: Is 197 a Blip?
« Reply #6 on: July 10, 2007, 11:02:56 AM »
Ask your doctor to retest you in a month.  I had a similar blip in January and the next month it was back to undetectable.
"Iíve slept with enough men to know that Iím not gay"

 


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